C3 Christian Academy, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

C3 CHRISTIAN ACADEMY, INC.

Practice address

2001 108TH St
Ste. 102
Grand Prairie, TX 75050-1437

Phone

(972) 623-2322

Fax

(972) 623-2322

NPI assigned

Mar 16, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Trisha Ann Evans-Davis, RN

Title

Program Administrator

Phone

(817) 875-2535

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1750742995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 108TH ST",
            "address_2": "STE. 102",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501437",
            "telephone_number": "972-623-2322",
            "fax_number": "972-623-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 108TH ST",
            "address_2": "STE. 102",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501437",
            "telephone_number": "972-623-2322",
            "fax_number": "972-623-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C3 CHRISTIAN ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "EVANS-DAVIS",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "817-875-2535",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maram Butah, DDS
• Nanda Bysani, MD
• C & M Pediatric Associates P a
• William C de Baca Sr., RPH
• C3 Academy, LLC
• Hope Alyssa Cachay, RD, LD
• Kendall Cain, SLP
• Kristen Lashawn Cain, LSSP
• Calab Inc
• Calab Inc

• Adult Day Care Clinic/Center in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.